Docstoc

Wayne Co Wayne Twp AR2009

Document Sample
Wayne Co Wayne Twp AR2009 Powered By Docstoc
					  * FEDERAL IDENTIFICATION NUMBER                              STATE OF INDIANA
                                                          STATE BOARD OF ACCOUNTS                           TOWNSHIP:          WAYNE
                               356003949          302 WEST WASHINGTON STREET, ROOM E418
                                                       INDIANAPOLIS, INDIANA 46204-2765                     COUNTY:            WAYNE
                                                           TELEPHONE: (317) 232-2513
TOWNSHIP FORM 15 (REVISED 2009)
PRESCRIBED BY
THE STATE BOARD OF ACCOUNTS                                                                                     ID:

                                                                                                                  (State Board of Accounts USE ONLY)

                                           CONTENTS:
                                           PART 1 - STATEMENT OF RECEIPTS, DISBURSEMENTS, CASH BALANCES AND INVESTMENT BALANCES
TOWNSHIP TRUSTEES ANNUAL REPORT TO:             FOR THE YEAR ENDING 2009 (ADVERTISE)
                                           PART 2 - RECEIPTS FOR THE YEAR ENDING 2009 (ADVERTISE)
  THE TOWNSHIP BOARD                       PART 3A - DISBURSEMENTS
                                           PART 3B - DETAIL OF DISBURSEMENTS FOR THE YEAR ENDING 2009 (ADVERTISE)
  THE COUNTY AUDITOR                       PART 4 - CASH AND INVESTMENTS AT DECEMBER 31, 2009
                                           PART 5 - INDEBTEDNESS (ADVERTISE)
  THE STATE BOARD OF ACCOUNTS              PART 6 - INTERGOVERNMENTAL EXPENDITURES
                                           PART 7 - STATEMENT OF FEDERAL GRANT RECEIPTS, DISBURSEMENTS, AND BALANCES
                                           PART 8 - STATEMENT OF STATE GRANT RECEIPTS, DISBURSEMENTS, AND BALANCES
                                           PART 9 - CERTIFICATION (ADVERTISE)
                                           PART 10 - ADVERTISEMENT AND NOTE TO PUBLISHERS
TOWNSHIP:    WAYNE                         PART 11- TOWNHSHIP ASSISTANCE STATISTICAL REPORT
                                           PART 12 - FINANCIAL ASSISTANCE TO NONGOVERNMENTAL ENTITIES
COUNTY:   WAYNE
                                           TRUSTEE'S NAME:     MARGE SWEET
FOR THE YEAR ENDED DECEMBER 31, 2009

                                           TRUSTEE'S ADDRESS:        401 E MAIN ST                                             msweet765@aol.com
                                                                               (street)                                                  (email)
FILED IN THE COUNTY AUDITOR'S OFFICE
                                                             RICHMOND                               IN                                    47374
            January 20, 2010                                      (city/town)                     (state)                                  (zip)

                                                                            OF AM      4:00 PM
                                           TELEPHONE (BETWEEN THE HOURS OF 8:00 8:00TO 4:00 PM)




                                                                                                                                        CoverPage
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                                     TOWNSHIP:                                  WAYNE
TOWNSHIP FORM 15 (REVISED 2009)
                                                                                                COUNTY:                                    WAYNE

PART 1 - STATEMENT OF RECEIPTS, DISBURSEMENTS, CASH BALANCES AND INVESTMENT BALANCES FOR THE YEAR ENDING 2009
                                                           A                 B                C                                                         D

                                                                         Cash Balance at                                                          Cash Balance at
                            FUNDS                              Code      January 1, 2009              Receipts             Disbursements         December 31, 2009
   Township                                                    0101               135,784.03              147,757.49             165,948.66              117,592.86
   Township Assistance                                         0840             1,286,202.69              680,686.95             464,698.52            1,502,191.12
   Fire Fighting                                               1111               550,670.24              956,340.40             742,946.00              764,064.64
   Cumulative Fire                                             1190                                              0.00                   0.00                     0.00
   Dog                                                         0202                                              0.00                   0.00                     0.00
   Park and Recreation                                         1301                                              0.00                   0.00                     0.00
   Fire Debt                                                   1182                                              0.00                   0.00                     0.00
   Levy Excess                                                 0108                                              0.00                   0.00                     0.00
   Federal Revenue Sharing                                     4501                                              0.00                   0.00                     0.00
   Rainy Day                                                   0061                29,219.06                     0.00                   0.00                29,219.06


      Subtotals Cash                                                            2,001,876.02            1,784,784.84           1,373,593.18            2,413,067.68


Transfers:                                                                                          Transfers In           Transfers Out
   Township                                                    0101                                              0.00                   0.00
   Township Assistance                                         0840                                              0.00                   0.00
   Fire Fighting                                               1111                                              0.00                   0.00
   Cumulative Fire                                             1190                                              0.00                   0.00
   Dog                                                         0202                                                                     0.00
   Park and Recreation                                         1301                                              0.00                   0.00
   Fire Debt                                                   1182                                              0.00                   0.00
   Levy Excess                                                 0108                                              0.00                   0.00
   Federal Revenue Sharing                                     4501                                                                     0.00
   Rainy Day                                                   0061                                              0.00                   0.00


      Subtotals Transfers                                                                                        0.00                   0.00


                                                                      Investment Balance at         Investments             Investments        Investment Balance at
Investments:                                                              January 1, 2009            Purchased                  Sold             December 31, 2009
   Township                                                    0101                                              0.00                   0.00                     0.00
   Township Assistance                                         0840                                              0.00                   0.00                     0.00
   Fire Fighting                                               1111                                              0.00                   0.00                     0.00
   Cumulative Fire                                             1190                                              0.00                   0.00                     0.00
   Dog                                                         0202                                                                                              0.00
   Park and Recreation                                         1301                                              0.00                   0.00                     0.00
   Fire Debt                                                   1182                                              0.00                                            0.00
   Levy Excess                                                 0108                                                                                              0.00
   Federal Revenue Sharing                                     4501                                              0.00                   0.00                     0.00
   Rainy Day                                                   0061                                              0.00                   0.00                     0.00


      Subtotals Investments                                                              0.00                    0.00                   0.00                     0.00


Subtotal Cash and Investments - Page One                                        2,001,876.02            1,784,784.84           1,373,593.18            2,413,067.68
Subtotal Cash and Investments - Page Two                                              104.26               29,518.59              29,521.08                    101.77


Grand Total Cash and Investments                                                2,001,980.28            1,814,303.43           1,403,114.26            2,413,169.45

                     Grand Totals and subtotals show the total of the cash fund transactions adjusted for any transfers and/or investment activity.

                                                                                                                                                      Pt1Pg1
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                                            TOWNSHIP: WAYNE
TOWNSHIP FORM 15 (REVISED 2009)
                                                                                                         COUNTY: WAYNE

PART 1 - STATEMENT OF RECEIPTS, DISBURSEMENTS, CASH BALANCES AND INVESTMENT BALANCES FOR THE YEAR ENDING 2009, PAGE2
                                                           A                 B                C                  D

                                                                        Cash Balance at                                                            Cash Balance at
                            FUNDS                             Code      January 1, 2009              Receipts            Disbursements            December 31, 2009
Federal Grants #1 Emergency Food and Shelter Program          4502                      4.26              29,518.59              29,521.08                        1.77
Cash (Petty)                                                  9998                   100.00                                                                     100.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00


      Subtotals Cash                                                                 104.26               29,518.59              29,521.08                      101.77


Transfers:                                                                                         Transfers In           Transfers Out




      Subtotals Transfers                                                                                       0.00                   0.00


                                                                     Investment Balance at         Investments             Investments        Investment Balance at
Investments:                                                             January 1, 2009            Purchased                  Sold               December 31, 2009
New Fund A                                                                                                                                                        0.00
New Fund B                                                                                                                                                        0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00
                                                                                                                                                                  0.00


      Subtotals Investments                                                             0.00                    0.00                   0.00                       0.00


Subtotal Cash and Investments - Page Two                                             104.26               29,518.59              29,521.08                      101.77

                       Subtotals - Page Two show the total of the cash fund transactions adjusted for any transfers and/or investment activity.

                                                                                                                                                       Pt1Pg2
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                      TOWNSHIP: WAYNE                                                                                                     ID:           0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                                                       (State Board of Accounts
                                                                   COUNTY: WAYNE                                                                                      USE ONLY)


PART 2 - RECEIPTS FOR THE YEAR ENDING 2009, PAGE 1

                                                                 Township          Fire       Cumulative                   Park and                                       Federal
                                                 Township        Assistance      Fighting       Fire        Dog           Recreation     Fire Debt     Levy Excess        Revenue                Rainy
                                                   Fund            Fund           Fund          Fund        Fund            Fund           Fund           Fund            Sharing                 Day
                                          Code      101            0840           1111          1190        0202            1301           1182           0108             4501                  0061
General Property Taxes                    0100    103,797.11      604,044.76     679,199.77
Financial Institution Tax                 0201         913.00        5,305.00
Auto and Aircraft Excise Tax              0202        6,790.85     39,280.62      80,724.59
Certified Shares (CAGIT)                  0203                                   187,131.00
Property Tax Replacement Credit (CAGIT)   0204       33,146.03
County Option Income Tax (COIT)           0212
Commercial Vehicle Excise Tax (CVET)      0217        1,371.00       7,967.00        864.00
Interest Earned                           6100        1,544.81     17,195.07       8,279.92
Federal Revenue Sharing                   1201
Special State Distributions               1514
Riverboat Distributions                   1701
Contractual Services                      2705
Fire Protection Contracts                 2206
Fire Protection Service Fees              2211
Federal Grants                            1115
Emergency Medical Service Fees            2504
Park and Recreation Receipts              2601
Receipts from the Sale of Bonds           5303
Cemetery Receipts                         2703
Reimbursements from County                2710
State Grants                              1412
Sale of Investments                       5500
Court Costs                               4101
Dog Tax                                   3101
Refunds                                   5600         194.69        6,904.50        141.12
Transfer of Funds                         5206
Miscellaneous Receipts                    6500                         (10.00)
Tax Anticipation Warrants
Emergency Loans


Total Receipts                                    147,757.49      680,686.95     956,340.40          0.00          0.00           0.00          0.00           0.00                0.00                  0.00




                                                                                                                                                                                                 Pt2 Pg1
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                       TOWNSHIP: WAYNE                                                                  ID:          0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                             (State Board of Accounts
                                                                    COUNTY: WAYNE                                                           USE ONLY)


PART 2 - RECEIPTS FOR THE YEAR ENDING 2009, PAGE 2

                                                                                               Federal Grants
                                                 Bank Transfer   Cash (Petty)      Payroll       #1 EFSP
                                                    Fund                         Deductions
                                          Code
General Property Taxes                    0100
Financial Institution Tax                 0201
Auto and Aircraft Excise Tax              0202
Certified Shares (CAGIT)                  0203
Property Tax Replacement Credit (CAGIT)   0204
County Option Income Tax (COIT)           0212
Commercial Vehicle Excise Tax (CVET)      0217
Interest Earned                           6100
Federal Revenue Sharing                   1201
Special State Distributions               1514
Riverboat Distributions                   1701
Contractual Services                      2705
Fire Protection Contracts                 2206
Fire Protection Service Fees              2211
Federal Grants                            1115                                                     29,481.00
Emergency Medical Service Fees            2504
Park and Recreation Receipts              2601
Receipts from the Sale of Bonds           5303
Cemetery Receipts                         2703
Reimbursements from County                2710
State Grants                              1412
Sale of Investments                       5500
Court Costs                               4101
Dog Tax                                   3101
Refunds                                   5600
Transfer of Funds                         5206      660,000.00
Miscellaneous Receipts                    6500                                    100,197.41
Tax Anticipation Warrants
Emergency Loans


Total Receipts                                      660,000.00            0.00    100,197.41       29,481.00    0.00   0.00   0.00   0.00                0.00                0.00



                                                                                                                                                                       Pt2 Pg2
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                    TOWNSHIP: WAYNE                                                                  ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                 (State Board of Accounts
                                                                 COUNTY: WAYNE                                                  USE ONLY)


PART 3A - PAGE 1: DISBURSEMENTS BY FUNCTION FOR TOWNSHIP, FEDERAL REVENUE SHARING AND TOWNSHIP ASSISTANCE FUNDS (REPORT IN DOLLARS AND CENTS)


                                               Township       Township       Township                                                                        TOTAL
                                               General         Public         Culture/      Township                                                       TOWNSHIP
               TOWNSHIP FUND                  Government       Safety        Recreation       Misc.                                                          FUND
                                      Code     0101-410       0101-420       0101-450       0101-490                                                          N/A
1. Personal Services                  1000       158,045.74                                                                                                  158,045.74
2. Supplies                           2000         1,452.97                                                                                                    1,452.97
3. Other Services and Charges         3000         6,230.95                                                                                                    6,230.95
4. Capital Outlay                     4000          219.00                                                                                                       219.00
5. Purchase of Investments            7000                                                                                                                         0.00
6. Transfers of Funds                 6000                                                                                                                         0.00
7. Total Expenditures                            165,948.66           0.00           0.00           0.00                                                     165,948.66
                                                Federal        Federal        Federal        Federal                                                        TOTAL
                                               Revenue        Revenue         Revenue        Revenue        Federal                                        FEDERAL
                                                Sharing        Sharing        Sharing        Sharing       Revenue                                         REVENUE
                                               General         Public         Culture/      Township        Sharing                                        SHARING
     FEDERAL REVENUE SHARING FUND             Government       Safety        Recreation     Assistance       Misc.                                          FUND
                                      Code     4501-410       4501-420       4501-450       4501-442       4501-490                                           N/A
1. Personal Services                  1000                                                                                                                         0.00
2. Supplies                           2000                                                                                                                         0.00
3. Other Services and Charges         3000                                                                                                                         0.00
4. Capital Outlay                     4000                                                                                                                         0.00
5. Purchase of Investments            7000                                                                                                                         0.00
6. Transfers of Funds                 6000                                                                                                                         0.00
7. Total Expenditures                                  0.00           0.00           0.00           0.00          0.00                                             0.00

                                                              Township       Township                                                                       TOTAL
                                              Township        Assistance     Assistance     Township                                                       Township
                                              Assistance        Direct         Other        Assistance                                                     Assistance
        TOWNSHIP ASSISTANCE FUND               Admin.         Assistance     Assistance     Misc. Inv.                                                       FUND
                                      Code    0840-441        0840-442       0840-443       0840-490                                                          N/A
1. Personal Services                  1000       261,360.81                                                                                                  261,360.81
2. Supplies                           2000         3,940.87                                                                                                    3,940.87
3. Other Services and Charges         3000        23,814.93                                                                                                   23,814.93
4. Capital Outlay                     4000         4,526.94                                                                                                    4,526.94
5. Purchase of Investments            7000                                                                                                                         0.00
6. Transfers of Funds                 6000                                                                                                                         0.00
7. Medical, Hospital, Burial          8000                       33,346.76                                                                                    33,346.76
8. Other Direct Relief                5000                      136,758.21         950.00                                                                    137,708.21
9. Total Expenditures                            293,643.55     170,104.97         950.00           0.00                                                     464,698.52


                                                                                                                                                            Pt3APg1
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                  TOWNSHIP: WAYNE                                                                               ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                             (State Board of Accounts
                                                               COUNTY: WAYNE                                                                USE ONLY)


PART 3A - PAGE 2: DISBURSEMENTS BY FUNCTION FOR OTHER TOWNSHIP FUNDS (REPORT IN DOLLARS AND CENTS)


                                                Fire         Cumulative                     Park and
                                              Fighting         Fire          Dog           Recreation      Fire Debt       Levy Excess            Rainy            Bank Transfer     Payroll       Federal Grants
                OTHER FUNDS                    Fund            Fund          Fund            Fund            Fund             Fund                 Day                Fund          Deductions       #1 EFSP
                                      Code     1111            1190          0202            1301            1182             0108                 0061
1. Personal Services                  1000
2. Supplies                           2000                                                                                                                                                                  47.25
3. Other Services and Charges         3000     742,946.00                                                                                                              660,000.00     100,197.41        29,473.83
4. Capital Outlay                     4000
5. Purchase of Investments            7000
6. Transfers of Funds                 6000
7. Total Expenditures                          742,946.00             0.00          0.00            0.00            0.00             0.00                 0.00         660,000.00     100,197.41        29,521.08




                OTHER FUNDS
                                      Code
1. Personal Services                  1000
2. Supplies                           2000
3. Other Services and Charges         3000
4. Capital Outlay                     4000
5. Purchase of Investments            7000
6. Transfers of Funds                 6000
7. Total Expenditures                                 0.00            0.00          0.00            0.00            0.00             0.00                 0.00               0.00           0.00             0.00




                OTHER FUNDS
                                      Code
1. Personal Services                  1000
2. Supplies                           2000
3. Other Services and Charges         3000
4. Capital Outlay                     4000
5. Purchase of Investments            7000
6. Transfers of Funds                 6000
7. Total Expenditures                                 0.00            0.00          0.00            0.00            0.00             0.00                 0.00               0.00           0.00             0.00




                                                                                                                                                                                                     Pt3APg2
ANNUAL FINANCIAL REPORT --                                      ID: 0
                                                                        (State Board of Accounts USE ONLY)
                                                                   Part 3B
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DETAIL OF DISBURSEMENTS FOR THE YEAR ENDING 2009

Township Fund - General Government                                 Township Fund - General Government

                   To Whom Paid                Gross Amount                          To Whom Paid                  Gross Amount
0101 Township                                                      Waynet                                                  60.00
1000 Personal Services                                             Totals for 0101 Township - Other Svs and Chgs        6,230.95
Dwyer Martha                                         1,980.00
First Bank                                           7,534.90      0101 Township
Indiana Dept of Workforce Development                 161.00       4000 Capital Outlays
Public Employees Retirement Fund                     5,887.96      Rosa's Inc                                             219.00
Smith Terri                                          1,980.00      Totals for 0101 Township - Capital Outlays             219.00
Sowers Marilyn                                       1,980.00
Steele Karen                                        37,225.05
Sweet Marge                                         55,330.30
United Healthcare                                   45,966.53
Totals for 0101 Township - Personal Services       158,045.74


0101 Township
2000 Supplies
Boyce Forms/Systems                                   628.73
Cash (Petty)                                            14.22
Corder's Car Inc                                      185.00
Kmart                                                   43.87
Officemax                                               47.94
Okidata                                               139.71
Unifirst Corporation                                  393.50
Totals for 0101 Township - Supplies                  1,452.97


0101 Township
3000 Other Services and Charges
America Online                                        227.88
Bumblebee Quick Print Inc                               51.00
City of Richmond                                        62.50
Eaton Computer                                        178.00
Gard Fred                                             375.00
Indiana Newspapers Inc                                191.92
Indiana Township Association                          500.00
Kendall Robin                                         100.00
Knoll, Kolger, Sowers and Metzger                     192.50
Newton's Auto Service                                 185.54
Palladium-Item                                        192.66
Selective Insurance Company of America                768.00
Summit Design Services                                175.00
Sweet Marge                                             68.11
Sweet Michael                                         587.50
U.S. Bank                                             135.34
Wayne County Auditor                                  584.00
Wayne County Economic Development                     250.00
Wayne County Insurance Service                        834.00
Wayne County Recorder                                  12.00
Wayne County Veterans Council, Inc                    500.00

BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                                     Part 3B
ANNUAL FINANCIAL REPORT --                                        ID: 0
                                                                     (State Board of Accounts USE ONLY)
                                                                     Part 3B 2
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DISBURSEMENTS

Township Assistance Administration                                   Township Assistance Direct Assistance

                                                   Gross                                                                Gross
                  To Whom Paid                    Amount                               To Whom Paid                    Amount
0840.1 Twp Assistance Administration                                 0840.1 Twp Assistance Administration
1000 Personal Services                                               4000 Capital Projects
Brown Kathleen                                      2,701.90         Morgan Business Equipment Inc                         3,927.00
Brown-Creech Tammy                                 37,225.05         Officemax                                              599.94
First Bank                                         12,802.09         Totals for 0840.1 Twp Assistance Administration       3,940.87
Fitzgerald Charles                                 32,681.84         400 Capital Projects
Frech Jodi                                         32,221.85
Goodson Delores                                     30,387.82
Indiana Dept of Workforce Development                 796.13
Murray Kevin MD                                       500.00
Owens Gina R                                          173.25
Public Employees Retirement Fund                   18,450.42
Reid Hospital & Health Care Services                  500.00
Tyra Phyllis                                       31,964.05
United Healthcare                                  60,956.41
Totals for 0840.1 Twp Administration
Personal Services                                 261,360.81


0840.1 Twp Assistance Administration
2000 Supplies
Boyce Forms/Systems                                 1,233.21
Bumblebee Quick Print Inc                             183.00
Cash (Petty)                                           63.78
Kmart                                                  16.67
Northbrook Healthcare Aids                             22.95
Officemax                                             189.97
Rosa's Inc                                          1,625.29
United State Postal Service                           606.00
Totals for 0840.1 Twp Assistance Administration
2000 Supplies                                       3,940.87


0840.1 Twp Assistance Administration
3000 Other Services & Charges
Centennial Wireless                                   944.87
First Bank                                                 5.00
Net Results Inc                                     5,980.00
Parallax System                                       971.40
Rosa's Inc                                             46.00
Selective Insurance Company of America              7,444.00
The Accident Fund Insurance Co of America           1,375.00
Verizon North                                         715.63
Wayne County Auditor                                   12.82
Wayne County Insurance Service                      5,617.75
Xerox Corp                                            702.46
Totals for 0840.1 Twp Assistance Administration
3000 Other Services & Charges                      23,814.93

BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                                       Part 3B 2
ANNUAL FINANCIAL REPORT --                              ID: 0
                                                           (State Board of Accounts USE ONLY)
                                                           Part 3B 3
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DISBURSEMENTS

Township Assistance Direct Assistance                      Fire Fighting Fund

                                          Gross                                                  Gross
                   To Whom Paid          Amount                               To Whom Paid      Amount
Rabe Residential Properties, LLC             750.00        City of Richmond                      742,946.00
Rader Karen                                  275.00        Total for 1111 Fire Fighting Fund
Rebecca Cate for Mitch Crowe                 500.00        3000 Other Services & Charges         742,946.00
Reister Colleen                              305.38
Renaissance Properties                       550.00
Richmond Housing Authority                   250.00
Richmond Power & Light                     15,971.56
Richmond Property Management LLC            1,100.00
Robinson Richard                             200.00
Robinson Valene                              101.00
Rogers William                               400.00
Ross Nickie                                  550.00
Sandifar Gary                                325.00
Setser Larry                                 375.00
Shelton Bobby                                450.00
Sipe Emogene                                 350.00
Slonaker Terry                               300.00
Sower Warren                                2,250.00
Steele Jonathan                              115.00
Stiens Marcia                               3,310.27
Stonebraker Robert                          1,050.00
Stonehenge Apartments                        475.00
The WIT House                                  75.00
Thompson Jonetta                             255.00
Trueblood Oil Co Inc                         304.84
Universal Mortgage Corp                      311.33
US Bank Home Mortgage                        337.97
VanMiddlesworth Neal                         750.00
Vectren Energy Delivery Inc                 3,132.46
Verhasselt Denise                            525.00
Vertesch Janet                              1,700.00
West End Bank                                400.00
Whissler Melissa                             500.00
Wourms Debra                                 400.00
Wright Jane                                  575.00
Totals for 0840.1 Township Assistance
Direct Assistance                         134,858.21


Corder's Car Care Inc                          25.00
Hope House                                   875.00
The WIT House                                  50.00
Totals for 0840.2 Township Assistance
Other Direct Assistance                      950.00




BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                Part 3B 3
ANNUAL FINANCIAL REPORT --                              ID: 0
                                                           (State Board of Accounts USE ONLY)
                                                           Part 3B 3
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DISBURSEMENTS

Emergency Food and Shelter Program

                                          Gross                                                             Gross
                   To Whom Paid          Amount                              To Whom Paid                  Amount
Anderson Lynette                             250.00        Stiens Marcia                                        273.26
Anderson Richard                            1,550.00       Stonegate Apts                                       200.00
Armstrong Diana                              500.00        Tom Kyle                                             200.00
Ballenger Donald                             250.00        Town of Centerville                                 1,673.67
Cole William                                 250.00        Turner Robert                                        250.00
Conner Charles                               250.00        Vectren Energy Delivery Inc                         1,919.18
Country Club Apartments                      250.00        Verhasselt Denise                                    250.00
Coyle Beth                                   250.00        Warren Jane                                          250.00
D & J Homes                                  250.00        Weesner Shirley                                      250.00
Dennis Investments                           200.00        Whitewater Valley R.E.M.C.                           144.49
Dublin Municipal Light & Water               377.74        Worl Dan L                                           200.00
Duke Energy                                 2,199.50       Totals for Emergency Food and Shelter Program     29,473.83
Dungan Waunalea                              250.00
First Bank                                   177.38
Gerard William                               250.00
Gibson Properties                            417.79
Glaub Ron                                    250.00
Hall Patsy                                   250.00
Holiday Motel                                182.00
Indiana-American Water Co Inc               1,404.12
Jennings Karen                               360.00
Johnson Christy                              250.00
Johnson Linda P                              146.50
Johnson Melissa                              200.00
Knecht June                                  250.00
Lair Carl E                                  200.00
Land Dale                                    250.00
Langley Adam                                 250.00
McQueen Philip                               200.00
Moistner Michael                             250.00
Pennington Sarah                             200.00
Perry Wyvonna                                450.00
Ponder Donald                                250.00
Premier Investment Group                     250.00
Richmond Housing Authority                    50.00
Richmond Motel                               200.00
Richmond Power & Light                      7,948.20
Robinson Valene                              250.00
Rogers Greg                                  250.00
Rose Ann Apartments                          250.00
Sekse Debbie                                 250.00
Sheets Teresa J                              250.00
Sherwood Sheila                              200.00
Sherwood Viola                               250.00
Slonaker Terry                               500.00
Smith Jo Anne                                200.00

BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                           Part 3B 3
ANNUAL FINANCIAL REPORT --                              ID: 0
                                                           (State Board of Accounts USE ONLY)
                                                           Part 3B 3
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DISBURSEMENTS

Township Assistance Direct Assistance                      Township Assistance Direct Assistance

                                           Gross                                                    Gross
                    To Whom Paid          Amount                               To Whom Paid        Amount
Community Family Funeral Home               9,450.00       EMC Mortgage Corporation                     297.81
Doan & Mills Funeral Home                   1,700.00       Energy Plus 24/Harvestland                   303.00
Earlham Cemetery                            6,500.00       Everhome Mortgage Company                    379.00
General Surgeons Inc                          100.00       Farmer Amy                                   799.00
Phillip's Drugs                             3,646.76       FerrellGas                                   268.68
Riggle Waltermann Mortuary Inc              1,900.00       Fireside Mobile Homes                        453.16
Showalter-Blackwell-Long Funeral Home       1,900.00       Frame Tricia                                 700.00
Stegall Berheide Orr Funeral Home          10,050.00       Gephart Barbara                             1,045.00
Totals for 0840.1 Twp Assistance Direct                    Gibson Properties                         12,702.96
Assistance - 1000 - Medical                35,246.76       Gossett Adam                                 500.00
                                                           Green Tree                                   347.29
Adams, Gerald                                 858.82       H&R Block Bank                               670.62
Allen Vincent                                 850.00       Hale Joe                                     500.00
American General Finance                      773.15       Hampton Roy                                  124.19
Anderson Richard                           17,161.36       Hayes Harcil                                1,240.00
Armstrong Diana                             1,885.70       Indiana-American Water Co Inc               3,581.67
Bailey Robert                                 795.60       Ivy Green                                   1,041.00
Baker Debbie                                  244.28       Jackson J L                                  360.00
Baker Diana                                   256.00       Jennings Jerry                               745.00
Ballenger Donald                            2,461.83       Jones Linda                                  315.00
Ballenger Terry                               436.03       K2 Properties                                585.00
Barnes Kevin                                  800.00       Kempe Mary Ann                               475.00
Bayview Loan Servicing LLC                    450.00       Kidd John                                   1,050.72
Bledsoe Mary D                                209.38       Kidd Stephanie                               900.00
Block Roger                                   510.00       Kinsinger Carroll                            311.00
Brinkley Patricia                             400.00       Kinsinger Richard                            475.00
Brunton Mark Jr                               101.84       Kmart                                          71.79
Burgess Lois                                  450.00       Knecht June                                  250.00
Buroker Karen                                 750.00       Knox Jane                                    614.90
Burwick Amy                                   140.00       KT Properties                               8,427.43
Butler Doug                                   500.00       Lair Chris                                   890.00
Butler Karen S                                256.04       Land Dale                                    350.00
Carpenter Gary                                575.00       Marsh Hometown Market                        199.73
Casebolt Steve                              1,235.02       Matson Enterprises LLC                       384.80
Cate Rebecca                                1,150.00       Miller Edward                                356.25
Coffey Ron                                    300.00       Miller Richard H                             569.81
Cole Carolyn                                  340.40       Mullins David                                500.00
Country Club Apartments                     4,609.88       Mullins Victor                               480.00
Cromer Thomas                                 340.00       Murray Leland                                375.00
Cummins Larry                                 724.82       Nelson Jerry                                1,200.00
D & J Homes                                 2,162.36       Parker Joyce                                 400.00
Dearth Darin                                  400.00       Perry Wyvonna                               1,399.64
Delucio Gaynell                               650.00       Peters Matt                                  340.00
Dennis Investments                          1,882.00       Philbeck Jeffrey                             616.92
Duke Energy                                   374.93       Ponder Donald                                650.00
Durbin Properties                           1,463.00       Premier Investment Group                     894.59

BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                   Part 3B 3
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                                      TOWNSHIP: WAYNE                                                          ID   0
TOWNSHIP FORM 15 (REVISED 2009)
                                                                                                   COUNTY: WAYNE                                  (State Board of
                                                                                                                                                  Accounts USE ONLY)
PART 4 - CASH AND INVESTMENTS AT DECEMBER 31, 2009
    PURCHASE                                                                                                    MATURITY               INTEREST          PURCHASE
        DATE                      FUND               CODE     DESCRIPTION TYPE AND SERIAL NUMBER                  DATE                   RATE              COST
                                                            INVESTMENTS ON HAND DECEMBER 31, 2009:
                                                            US Bank - Checking Account 0005908033                                                                   3,620.06
                                                            First Bank - Checking Acct   01510419276                                                          1,113,926.04
                                                            First Bank - Money Market    01550284218                                                          1,004,118.86
                                                            Wayne Bank - Money Market     105967                                                                291,402.72
                                                            First Bank - EFSP Funds      01510420787                                                                    1.77
                                                            Petty Cash                   9998                                                                        100.00




                                                                                                          Total Investments                                   2,413,169.45

                                                            CASH AT DECEMBER 31, 2009:




                                                            Other Cash Accounts


                                                            Total Monies on Deposit Investment
                                                                                                          Total Cash                                                    0.00
                                                                                                          Total Cash and Investments                          2,413,169.45
                                                                                                          Less 12-31-09 M Account Balances
                                                                                                          Record Balance                                      2,413,169.45
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                  TOWNSHIP: WAYNE                                                          ID:                  0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                     (State Board of
                                                               COUNTY: WAYNE                                                   Accounts USE ONLY)


PART 5 - INDEBTEDNESS AS OF DECEMBER 31, 2009
                                   Outstanding            Issued             Retired          Outstanding           Interest Paid                     Principal and
                                    1/1/2009            During Year        During Year        12/31/2009            During 2009                       Interest Due
                                 (Beginning Year)          2009               2009           (Ending Year)           (Full Year)                         In 2010
Township Assistance Bonds                                                                                    0.00
General Obligation Bonds                                                                                     0.00
Fire Equipment Loans                                                                                         0.00
Other DLGF Authorized Debt                                                                                   0.00




PART 6 - INTERGOVERNMENTAL EXPENDITURES


OF THE EXPENDITURES REPORTED IN PART 3, HOW MUCH WAS PAID TO OTHER GOVERNMENTAL UNITS FOR:


               Purpose                Amount


1. E.M.S. Services
2. Fire Protection                         742,946.00
3. Parks and Recreation
4. All Other

5. Total (All lines 1 through 4)           742,946.00




                                                                                                                                                         Pts5 6
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                TOWNSHIP: WAYNE                                                                   ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                                          (State Board of
                                                                             COUNTY: WAYNE                                                             Accounts USE ONLY)


PART 7 - STATEMENT OF FEDERAL GRANT RECEIPTS, DISBURSEMENTS AND BALANCES (REPORT IN DOLLARS AND CENTS)
   CFDA                                             FEDERAL OR                                                  CASH BALANCE                                          CASH BALANCE
  NUMBER               FEDERAL TITLE               STATE AGENCY      AWARD AMOUNT          FUND TITLE             AS OF 1/1/09   RECEIPTS      DISBURSEMENTS          AS OF 12/31/09
      83.523 Emergency Food and Shelter Program   EFSP/FEMA                  29,481.00 4502 Federal Grants #1             4.26     29,518.59           29,521.08                    1.77
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00
                                                                                                                                                                                    0.00


NOTE: DO NOT TOTAL GRANTS. USE THIS PAGE TO DETAIL ALL FEDERAL FINANCIAL ASSISTANCE INCLUDING ASSISTANCE
PASSED THROUGH STATE AGENCIES. IF GRANT IS PART FEDERAL AND PART STATE, DETAIL THE FEDERAL PORTION HERE, AND THE STATE PORTION ON PART 8.                                   Part7
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                 TOWNSHIP: WAYNE                                                          ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                                  (State Board of
                                                                              COUNTY: WAYNE                                                    Accounts USE ONLY)


PART 8 - STATEMENT OF STATE GRANT RECEIPTS, DISBURSEMENTS, AND BALANCES
   GRANT                                                                                                   CASH BALANCE                                       CASH BALANCE
  NUMBER               PROJECT NAME                STATE AGENCY      AWARD AMOUNT             FUND TITLE     AS OF 1/1/09   RECEIPTS   DISBURSEMENTS          AS OF 12/31/09
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00


NOTE: DO NOT TOTAL GRANTS. USE THIS PAGE TO DETAIL ALL STATE FINANCIAL ASSISTANCE.
IF GRANT IS PART STATE AND PART FEDERAL, DETAIL THE STATE PORTION HERE, AND FEDERAL PORTION ON PART 7.




                                                                                                                                                                    Part8
PART 9 - CERTIFICATION


State of Indiana

SS:

Wayne

       I, _________________________________, Trustee of _________________________________
Township, _______________ County, Indiana, do solemnly affirm under the penalty of perjury that the preceding report is complete,
true and correct; that the sum with which I am charged in this report are all of the sums received by me; and that the various items
of expenditures credited have been fully paid in the sums stated; that such payments were made without express or implied
agreement that any portion thereof shall be retained by or repaid to me or to any other person. I further affirm that a complete and
detailed annual report, together with all accompanying vouchers showing the names of persons having been paid money by the
township, have been filed as required by law in the office of the County Auditor, and that copies of such annual report are in custody
of the Township Board and the State Board of Accounts. Said report is subject to inspection by any taxpayer of the township.



______________________________________ (sign)

_________________________________________ Township Trustee

Telephone: _______________________

Date this report was to be published: ______________________

        Subscribed and sworn (or affirmed) to before me, the Chairman of the Township Board of ____________________ Township
at its annual meeting, this__22nd___ day of January , 2010.

______________________________________ (sign)

___________________________________ Township Board Chairman

                                                          OPTION 1
This report was received, accepted, and approved by the Township Board at its annual meeting, this _______ day of January, 2010.


_______________________________ Township Board:

______________________________________ (sign)

______________________________________ (sign)

______________________________________ (sign)

                                                           OPTION 2
This report was received, accepted, and approved except for Part(s) ______ by
the following Township Board Member(s) at its annual meeting, this ________ day of
January, 2010.

______________________________________ (sign)

______________________________________ (sign)

______________________________________ (sign)

The following note should not be advertised.
Note: Option 1 to be used where the Township Board approves the annual report.
Option 2 to be used where a member or all members of the Township Board
disapproves part or all of the annual report. (DO NOT ADVERTISE)
ANNUAL FINANCIAL REPORT --                                                                                 ID:                   0
                                                                                          (State Board of Accounts USE ONLY)


INDIANA TOWNSHIPS                                                                               TOWNSHIP:                      WAYNE

TOWNSHIP FORM 15 (REVISED 2009)                                                                    COUNTY:                     WAYNE


PART 10 - NOTE TO PUBLISHERS

NOTE TO PUBLISHERS:

Township Form 15 of report is prescribed by the State Board of Accounts in compliance with IC 36-6-4-13.

All legal advertisements shall by set in solid type not larger than the type used in the regular reading matter of the newspaper,
without any leads or other devices for increasing space. All such advertisements shall be headed by no more than two (2) lines,
neither of which shall total more than four (4) solid lines of the type in which the body of the advertisement is set.



NOTE TO TOWNSHIP TRUSTEE:

IC 36-6-4-13 requires Township Form 15 to be prepared for publication within four weeks after the third Tuesday following the first
Monday in January. February 15, 2010 is the last date for publication. Publication is to be made ONE TIME ONLY in two (2)
newspapers published in the township. If only one (1) newspaper is published in the township, then the notice shall be published in
that newspaper. If no newspaper is published in the township, then publication shall be made in a newspaper published in the
county and that circulates within the township.
Prescribed by the State Board of Accounts                                                                  Form TA-7 (Revised 2009)
                                                                                                           Part 11 - page 1

                                       WAYNE TOWNSHIP, WAYNE COUNTY
                              TOWNSHIP ASSISTANCE STATISTICAL REPORT (IC 12-20-28-3)
                                   FOR THE PERIOD ENDING DECEMBER 31, 2009




1. TOTAL NUMBER OF REQUESTS FOR TOWNSHIP ASSISTANCE                                                                            896

2. (A) TOTAL NUMBER OF RECIPIENTS OF TOWNSHIP ASSISTANCE                                                                      1,547

2. (B) TOTAL NUMBER OF HOUSEHOLDS CONTAINING RECIPIENTS OF TOWNSHIP ASSISTANCE                                                 348

2. (C) (i) TOTAL NUMBER OF CASE CONTACTS MADE WITH OR ON BEHALF OF RECIPIENTS OF TOWNSHIP ASSISTANCE                          5,033

2. (C) (ii) TOTAL NUMBER OF CASE CONTACTS MADE WITH OR ON BEHALF OF MEMBERS OF A HOUSEHOLD
             RECEIVING TOWNSHIP ASSISTANCE                                                                                    3,616

3. TOTAL VALUE OF BENEFITS PROVIDED TO RECIPIENTS OF TOWNSHIP ASSISTANCE                               $                 174,288.00

4. TOTAL VALUE OF BENEFITS PROVIDED THROUGH EFFORTS OF TOWNSHIP STAFF FROM SOURCES OTHER
   THAN TOWNSHIP FUNDS                                                                                 $                  26,078.00


5. (A) TOTAL NUMBER RECEIVING UTILITY ASSISTANCE - RECIPIENTS                                                                  617

5. (A) (i) TOTAL NUMBER RECEIVING UTILITY ASSISTANCE - HOUSEHOLDS                                                              122

5. (B) TOTAL NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING UTILITY ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS                                                                                 313


6. (i) TOTAL VALUE OF BENEFITS PROVIDED FOR PAYMENT OF UTILITIES - TOWNSHIP                            $                  23,485.00

6. (ii) TOTAL VALUE OF BENEFITS PROVIDED FOR PAYMENT OF UTILITIES - NONTOWNSHIP SOURCES                $                  17,157.00

6. (iii) TOTAL VALUE OF ALL BENEFITS PROVIDED FOR PAYMENT OF UTILITIES                                 $                  40,642.00


7. (A) TOTAL NUMBER RECEIVING HOUSING ASSISTANCE - RECIPIENTS                                                                   782

7. (A) (i) TOTAL NUMBER RECEIVING HOUSING ASSISTANCE - HOUSEHOLDS                                                               240

7. (B) TOTAL NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING HOUSING ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS                                                                                  315

8. (i) TOTAL VALUE OF BENEFITS PROVIDED FOR HOUSING ASSISTANCE - TOWNSHIP                              $                 111,577.00

8. (ii) TOTAL VALUE OF BENEFITS PROVIDED FOR HOUSING ASSISTANCE - NONTOWNSHIP SOURCES                  $                  16,978.00

8. (iii) TOTAL VALUE OF ALL BENEFITS PROVIDED FOR PAYMENT OF HOUSING ASSISTANCE                        $                 128,555.00


9. (A) TOTAL NUMBER RECEIVING FOOD ASSISTANCE - RECIPIENTS                                                                        3

9. (A) (i) TOTAL NUMBER RECEIVING FOOD ASSISTANCE - HOUSEHOLDS                                                                    2

9. (B) TOTAL NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING FOOD ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS                                                                                 114

10. (i) TOTAL VALUE PROVIDED FOR FOOD ASSISTANCE - TOWNSHIP                                            $                    199.00

10. (ii) TOTAL VALUE PROVIDED FOR FOOD ASSISTANCE - NONTOWNSHIP SOURCES                                $                   4,249.00

10. (iii) TOTAL VALUE ALL FOOD ASSISTANCE PROVIDED                                                     $                   4,448.00
Prescribed by the State Board of Accounts                                                              Form TA-7 (Revised 2009)
                                                                                                       Part 11 - page 2

                                       WAYNE TOWNSHIP, WAYNE COUNTY
                              TOWNSHIP ASSISTANCE STATISTICAL REPORT (IC 12-20-28-3)
                                   FOR THE PERIOD ENDING DECEMBER 31, 2009
                                                  (Continued)


11. (A) TOTAL NUMBER PROVIDED HEALTH CARE - RECIPIENTS                                                                      37

11. (A) (i) TOTAL NUMBER PROVIDED HEALTH CARE - HOUSEHOLDS                                                                  20

11. (B) NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING HEALTH CARE ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS                                                                              61

12. (i) TOTAL VALUE OF HEALTH CARE PROVIDED - TOWNSHIP                                             $                   3,820.00

12. (ii) TOTAL VALUE OF HEALTH CARE PROVIDED - NONTOWNSHIP SOURCES                                 $                    580.00

12. (iii) TOTAL VALUE OF ALL OF HEALTH CARE PROVIDED                                               $                   4,400.00


13. TOTAL NUMBER OF FUNERALS, BURIALS, AND CREMATIONS                                                                       26

14. (A) TOTAL ACTUAL VALUE OF FUNERALS, BURIALS, AND CREMATIONS                                    $                  33,400.00

14. (B) (i) TOTAL PAID BY TOWNSHIP FUNDS FOR FUNERALS, BURIALS, AND CREMATIONS                     $                  33,400.00

14. (B) (ii) DIFFERENCE BETWEEN ACTUAL VALUE AND AMOUNT PAID BY TOWNSHIP FUNDS FOR FUNERALS,
              BURIALS, AND CREMATIONS                                                              $                       0.00


15. (A) TOTAL NUMBER OF NIGHTS OF EMERGENCY SHELTER PROVIDED TO THE HOMELESS                                               303

15. (B) TOTAL NUMBER OF NIGHTS OF EMERGENCY SHELTER PROVIDED TO THE HOMELESS THROUGH EFFORTS OF
         TOWNSHIP STAFF FROM SOURCES OTHER THAN TOWNSHIP FUNDS                                                             580

15. (C) (i) TOTAL VALUE OF EMERGENCY SHELTER FOR HOMELESS INDIVIDUALS - TOWNSHIP                   $                   1,000.00

15. (C) (ii) TOTAL VALUE OF EMERGENCY SHELTER FOR HOMELESS INDIVIDUALS - NONTOWNSHIP SOURCES       $                  16,978.00

15. (C) (iii) TOTAL VALUE OF ALL EMERGENCY SHELTER PROVIDED FOR HOMELESS INDIVIDUALS               $                  17,978.00


16. (A) TOTAL NUMBER OF REFERRALS OF TOWNSHIP ASSISTANCE APPLICANTS TO OTHER PROGRAMS                                      395

16. (B) TOTAL VALUE OF TOWNSHIP SERVICES IN MAKING REFERRALS TO OTHER PROGRAMS                     $                  26,078.00


17. TOTAL NUMBER OF TRAINING PROGRAMS OR JOB PLACEMENTS FOUND FOR TOWNSHIP ASSISTANCE RECIPIENTS
    WITH ASSISTANCE OF TOWNSHIP TRUSTEE                                                                                       7


18. NUMBER OF HOURS SPENT BY TOWNSHIP ASSISTANCE RECIPIENTS AT WORKFARE                                                   5,419

19. (i) TOTAL VALUE OF SERVICES PROVIDED BY WORKFARE TO THE TOWNSHIP                               $                    415.00

19. (ii) TOTAL VALUE OF SERVICES PROVIDED BY WORKFARE TO OTHER AGENCIES                            $                  41,982.00

19. (iii) TOTAL VALUE OF ALL SERVICES PROVIDED BY WORKFARE                                         $                  42,397.00


20. (A) TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM RECIPIENTS                      $                   3,489.00

20. (B) TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM MEMBERS OF RECIPIENTS'
         HOUSEHOLDS                                                                                $                   3,894.00

20. (C) TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM RECIPIENTS' ESTATES             $


21. TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM MEDICAL PROGRAMS
    UNDER IC 12-20-16-2(e)                                                                         $                    197.00


22. (A) TOTAL NUMBER OF INDIVIDUALS ASSISTED THROUGH A REPRESENTATIVE PAYEE PROGRAM                                         75

22. (B) TOTAL AMOUNT OF FUNDS PROCESSED THROUGH THE REPRESENTATIVE PAYEE PROGRAM THAT ARE NOT
         TOWNSHIP FUNDS                                                                            $               1,141,044.00
Prescribed by the State Board of Accounts                                                                                                      Form TA-7 (Revised 2009)
                                                                                                                                               Part 11 - page 3

                                          WAYNE TOWNSHIP, WAYNE COUNTY
                                 TOWNSHIP ASSISTANCE STATISTICAL REPORT (IC 12-20-28-3)
                                      FOR THE PERIOD ENDING DECEMBER 31, 2009
                                                     (Continued)


23. (A) TOTAL NUMBER OF INDIVIDUALS ASSISTED THROUGH SPECIAL NONTRADITIONAL PROGRAMS PROVIDED
         THROUGH THE TOWNSHIP WITHOUT THE EXPENDITURE OF TOWNSHIP FUNDS                                                                                              354

23. (B) TOTAL AMOUNT OF NONTOWNSHIP FUNDS USED TO PROVIDE THE SPECIAL NONTRADITIONAL PROGRAMS                                              $                  16,978.00


24. (A) (i) TOTAL NUMBER OF HOURS AN INVESTIGATOR OF TOWNSHIP ASSISTANCE SPENDS ON CASE
              MANAGEMENT SERVICES - RECIPIENTS                                                                                                                     2,779

24. (A) (ii) TOTAL NUMBER OF HOURS AN INVESTIGATOR OF TOWNSHIP ASSISTANCE SPENDS ON CASE
               MANAGEMENT SERVICES - HOUSEHOLDS                                                                                                                    2,779

24. (B) TOTAL VALUE OF CASE MANAGEMENT SERVICES PROVIDED                                                                                   $                 293,643.00


25. TOTAL NUMBER OF HOUSING INSPECTIONS PERFORMED BY THE TOWNSHIP                                                                                                    142




DATE_______________ TRUSTEE'S SIGNATURE________________________________

The State Board of Accounts is of the audit position, with the concurrence of the Attorney for the Township Trustees Association, the following procedures should be
followed for a consistent compilation and completion of Township Assistance Form TA-7.


When completing the form please keep in mind reconcilement or cross-checking cannot, necessarily, be achieved; i.e., Total Value of Benefits Provided Township
Assistance Recipients (Item 3), will not necessarily be the summation of Total Value of Benefits Provided for Utilities (Item 6 (i)); Total Value of Benefits Provided for
Housing Assistance (Item 8 (i)); Total Value of Food Assistance Provided (Item 10 (i)); and, Total Value of Health Care Provided (Item 12 (i)); because IC 12-20-28-3
does not specifically require separate reporting of certain Township Assistance provided by townships; i.e., clothing, household supplies, transportation, etc.
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS           TOWNSHIP: WAYNE                                             ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                (State Board of
                                                        COUNTY: WAYNE                                        Accounts USE ONLY)


PART 12 - FINANCIAL ASSISTANCE TO NONGOVERNMENTAL ENTITIES (REPORT IN DOLLARS AND CENTS)

 FEDERAL                                                              NAME OF        PHONE NUMBER
    ID                                              COUNTY OF        OPERATING       OF OPERATING   DESCRIPTION OF
 NUMBER           NAME              ADDRESS         OPERATION         OFFICER           OFFICER        FUNDING                   AMOUNT




* NOTE: DO NOT TOTAL AMOUNTS.

                                                                                                                                  Part 12

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:0
posted:5/19/2012
language:
pages:25
fanzhongqing fanzhongqing http://
About